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In a superomedial gaze, the optic nerve shifts down and out and is likely to be injured during inferolateral needle blocks. Primary gaze is considered to be the safest for akinetic sharp needle blocks. \u201cTethering tests\u201d involving extremes of gazes are dangerous. The superomedial, superior, superolateral, and inferomedial routes are perilous in all gazes. The superolateral gaze during classic Steven\u2019s sub-Tenon\u2019s block brings the optic nerve forward, rendering it vulnerable. Complications can be reduced by avoiding deep blind dissection and posterior injections.<\/jats:p>","DOI":"10.3928\/15428877-20111215-02","type":"journal-article","created":{"date-parts":[[2011,12,20]],"date-time":"2011-12-20T17:08:55Z","timestamp":1324400935000},"page":"162-168","source":"Crossref","is-referenced-by-count":2,"title":["A Review of Directions of Gaze During Intraocular Anesthetic Blocks"],"prefix":"10.3928","volume":"43","author":[{"given":"Shashi B.","family":"Vohra","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","first-page":"60","article-title":"Ber.\u00fc.d. Versamml. D. Deutsch","volume":"16","author":"Koller C","year":"1884","unstructured":"Koller C. Ber.\u00fc.d. Versamml. D. Deutsch. Ophth Gesellsh. 1884;16:60. (cited in Altman AJ, Albert DM, Fournier GA. Cocaine\u2019s use in ophthalmology: our 100-year heritage.) 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